RN Care Manager – LTSS & Waiver Services

Jobtome; North Baltimore (OH); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a registered nurse care manager to support care coordination for members requiring LTSS. You will partner with a multidisciplinary team to assess needs, develop and monitor care plans, and coordinate waiver services.

The role involves travel (25-40%), working across settings, and ensuring timely assessments and effective care. Strong communication, organizational, and problem-solving skills are essential.

Qualifications

• 2+ years healthcare experience including care management or related fields.
• Active RN license in state where practicing.
• Minimum requirement may include bachelor's degree depending on state.
• Valid driver's license and reliable transportation for travel.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person home visits when required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and support networks.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of LTSS and behavioral health with community resources to ensure continuity of care.
• Assess medical necessity and authorize waiver services.
• Participate in interdisciplinary care team meetings for service approvals.
• Educate and motivate member changes using motivational interviewing and clinical guidelines.
• Identify barriers to care and assist with psycho-social, financial, and medical obstacles.
• Travel 25-40% may be required depending on state contracts.

Skills

Communication skills

Problem-solving

Time management

Independence

Education

RN license (active in state of practice)

Bachelor's degree in health care or related field may be required

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse care manager to support care coordination for members requiring LTSS. You will partner with a multidisciplinary team to assess needs, develop and monitor care plans, and coordinate waiver services.

The role involves travel (25-40%), working across settings, and ensuring timely assessments and effective care. Strong communication, organizational, and problem-solving skills are essential.